Active NPIIndividual providerSole proprietor

Mr. Mark Gutkin, LAC

Acupuncturist in Stamford, Connecticut

NPI Number1629240320
Practice location
111 High Ridge RD 2ND Level, Stamford, CT 06905-3811
Fax
—
Last updated
October 22, 2020

Mark Gutkin is an Acupuncturist based in Stamford, CT. Mark Gutkin practices in Stamford, CT and has the professional credentials of LAC. The NPI Number for Mark Gutkin is 1629240320 and holds a License No. 003404 (NY). The current practice location address for Mark Gutkin is 111 High Ridge RD 2ND Level, Stamford, CT 06905-3811 and can be reached out via phone at 203-533-9463.

Provider Profile Details

NPI Number
1629240320
Provider Name
Mark Gutkin
Credential
LAC
Provider Entity Type
Individual
Gender
Male
Address
111 High Ridge RD 2ND Level, Stamford, CT 06905-3811
Phone Number
203-533-9463
Primary Taxonomy
Acupuncturist · 171100000X
Sole Proprietor
Yes
Provider Enumeration Date
April 2, 2008
Last Update Date
October 22, 2020
Certification Date
October 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 High Ridge RD 2ND Level
Stamford, CT 06905-3811
Zip
06905-3811
Phone Number
203-533-9463
Stamford, CT 06905Get directions →

Provider Business Mailing Address Details

Address
111 High Ridge RD
2ND Level
Stamford, CT 06905-2300
City
Stamford
State
CT
Zip
06905-2300
Phone Number
203-533-9463

License Information

License Number (1)
003404
License State (1)
NY
Taxonomy (1)
Acupuncturist · 171100000X
License Number (2)
393
License State (2)
CT
Taxonomy (2)
Acupuncturist · 171100000X
License Number (3)
0393
License State (3)
CT
Taxonomy (3)
Acupuncturist · 171100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Mark Gutkin, LAC?

The NPI number of Mr. Mark Gutkin, LAC is 1629240320. It was assigned on April 2, 2008 and is currently active in the NPPES registry.

What is the specialty of Mr. Mark Gutkin, LAC?

Mr. Mark Gutkin, LAC is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in NY under license number 003404.

Where does Mr. Mark Gutkin, LAC practice?

The practice location is 111 High Ridge RD 2ND Level, Stamford, CT 06905-3811. The office can be reached at 203-533-9463 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629240320 directly on the NPPES registry website.

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